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APPL. <br /> � ���� epvl_Ie�TIqN FOR SERVICE SERVICE j`� � �: � � <br /> No. � .G O 6�C ' - ORDER <br /> GTY OF EVERETT WATER DEPT. ,/, <br /> � FIXE� DATE/-�__79� <br /> � DEPOSIT g �-� ',� `�-I � ry O. <br /> �V 3 �200� Q �� /��,t.— �,_ <br /> SERYIC.E (er no�rs'e/ss) • ' <br /> � /R � SO�✓ /1 v�' GLK. �V Lp3I�3�ADD. ' /N' .E�Fi <br /> OWNER �r�l�Il� �__����N/ t/R CONTRACTORI.� ,�D��n�D/✓ �� <br /> � <br /> INSTAL� '/�_METERED SERVICE '. - . <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE 1YITH THE � .-'i �_ �/. <br /> ORDINANCES FND POLICIES OF THE WATER UEPAkTIdENT NO'.Y EXISTING � � � _ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sl�Neo: X_1 ���� •- .(�L..:— . -- <br /> f.lA1E0.1:.L£ I �± IN.� t IN. '. 2 IN. � I I PRICE AMOUi1T <br /> PIPE �OPPEF'-- GALV.- STEEL '�I_I I I ,��� �Ii) <br /> � �I ��� � <br /> CORPORATION �__I J r�=' <br /> CURB COCK �T - I I �I ( <br /> SERVICE BOX PLASTIC -- C I I ..._ <br /> METER VALVE _� _ -�✓/��._ <br /> METEQ N•_._ ____ � --- TY� E. ° I ' 4S _ _ _ ___ _— � /- <br /> L+_ �_— I^— <br /> METER k=:c_{ CONCRETE _ SMAL LARG_I� _ SI%�� <br /> — 1-s:r--z_%s��� � � ���i <br /> I �—�— <br /> — — — _--i -- ��I— <br /> I I I I �I <br /> � UN , f <br /> DATE INSTALL�D: J , �/ � Q OFF j J ��, y SUB TOTAL �� <br /> COOE I LADOfi ANO E4�IPMENi RCNTA: I HOURv liATE - <br /> I •.��- _ - --_._ I �� S��% �� - �_ <br /> I „ I �/ _ �I <br /> I�' / _- I �j r. fl '11 I "1��(�� �. .__ <br /> ��� _�_ �� � _- <br /> i - � --i, � _ <br /> -- - ------i � - �.��:, �; �,�- <br /> I�1/ �- — - --- — ' <br /> ITOTAL Ii ��G� <br /> REAtARKS: � . � ' <br /> _" L_" - -"�'_- L�..'7_- . �.�i._.`� .i.t '__ ./ __ _ .. _ _. . .. _ __-_ _ _-. __-___.__.. _-. _ -- <br /> � � �i � � <br /> ��� � L:. �1 . . . . . .. . e ..____..-"_ <br /> ._ _ �).—V.. _. - _ <br /> �� <br />